Phenomenon: Transgender patients experience discrimination, limited access to care, and inadequate provider knowledge in healthcare settings. Medical education address transgender-specific disparities is lacking. Research that engages transgender community members may help health by empowering patients, increasing trust, informing medical curricula increase competence. Approach: A 2015 Community Forum on Health Care was hosted at the University of Louisville School Medicine, which included...

Background Gender diverse people with a chronic illness and/or disability (CI/D) encounter stigma and disempowerment at all social-ecological levels, reducing access to individual health promoting behaviors resulting in population disparities. Living the intersection of two populations experiencing social marginalization, this group is also higher risk stress—a factor that leads suboptimal outcomes over life span.

Individuals who are lesbian, gay, bisexual, transgender (LGBT), gender nonconforming, and/or born with differences of sex development have specific health needs and significant disparities exacerbated by a lack training among professionals. The University Louisville LGBT Health Certificate Program used an interdisciplinary approach to increase training, potentially enabling future physicians provide quality healthcare patients.A pretest-post-test design was investigate medical students' (n =...

Informal carers make a significant contribution to illness management in communities, but many struggle access support and remain 'hidden carers'. We aimed explore how of people with common long-term conditions (LTCs, such as coronary heart disease or kidney disease) conceptualised their caring, whether they struggled identify themselves the term 'carer' for support. conducted semi-structured interviews 19 informal LTCs recruited from local groups. Topic guides were designed encourage...

Journal Article ‘Acceptable Difference’: Diversity, Representation and Pathways to UK Politics Get access Catherine Durose, Durose * 1University of Birmingham, *Correspondence: c.durose@bham.ac.uk Search for other works by this author on: Oxford Academic Google Scholar Liz Richardson, Richardson 2University Manchester, Ryan Combs, Combs Christina Eason, Eason 3University Sheffield, Francesca Gains Parliamentary Affairs, Volume 66, Issue 2, April 2013, Pages 246–267,...

Microaggressions are subtle derogatory behaviors that unintentionally communicate hostility toward marginalized social groups. This article describes the preliminarily validation of a framework for observing LGBTQ+ microaggressions in health care, which can lead to distrust and disengagement from healthcare system. Coders used observe video-recorded clinical-skills assessments with medical students who elicited histories standardized patients. Microaggression classifications were reviewed...

Issue: Inadequate training around gender-affirming care is a critical gap in health and medical education that causes disparities leads to injury for transgender, nonbinary, other gender-diverse patients. In contrast this widespread provider knowledge gap, patients bring from their own experiences care. Embracing varied epistemologies, or sources of knowledge, within has the potential enhance by intentionally placing value on lived emphasizing credibility Evidence: article, authors endorse...

Sexual violence (SV) is a public health crisis that disproportionately impacts minoritized communities. SV prominently associated with post-traumatic stress disorder (PTSD) and related outcomes. Access to early psychosocial intervention may be effective for reducing the long-term consequences. Community-based organizations (CBOs) are uniquely positioned address immediate support needs of survivors SV. However, significant barriers exist CBO service engagement. Engaging individuals lived...

This paper explores the health care experiences of individuals who are transgender and/or nonbinary (TGNB) and live with a chronic illness disability (CI/D). Using an interpretivist epistemological worldview intersectional lens, research team explored compounded barriers faced by this patient population propose solutions for improving their care. The study conducted in-depth interviews TGNB self-identified as having CI/D to understand experiences. interdisciplinary team, which includes...

Phenomenon: Disparities in health and healthcare for gender minorities (GMs) such as transgender people are significant, medical educators have a responsibility to ensure trainees master the clinical skills required provide them with quality care. We implemented standardized patient (SP) scenario designed measure students' ability gender-affirming care sought understand experiences perceptions of GMs who served SPs this case. Our key research question was: how do GM describe experience...

<h3>Background</h3> UK genetic ophthalmology services for patients with retinal dystrophy (RD) are variable. Little research exists to define service requirements, or expectations, of and their families. This study aimed explore the views perceived benefits among members families RD. <h3>Methods</h3> Twenty participants known RD mutations were recruited through ophthalmic clinics. Semistructured qualitative interviews explored interviewees’ perceptions role these services. Interviews...

Purpose A provider's ability to translate knowledge about transgender health affirming patient care is key addressing disparities. However, standardized (SP) programs have little published guidance for gender-affirming or disparities experienced by and nonbinary patients. Method Between 2018 2019, we invited all 208 accredited US Canadian medical schools participate in a study determine how gender minorities are represented SP encounters. Responding (n = 59, response rate 28%) that patients...

Technological advances present an opportunity for more people with, or at risk of, developing retinitis pigmentosa (RP) to be offered genetic testing. Valuation of these tests using current evaluative frameworks is problematic since benefits may derived from diagnostic information rather than improvements in health. This pilot study aimed explore if contingent valuation method (CVM) can used value the testing RP.CVM was elicit willingness-to-pay (WTP) values (1) counselling and (2) with...

Background: Depression is the leading cause of disability in United States. African Americans are disproportionately affected owing to systemic and sociocultural factors. Stigma, denial, inadequate knowledge on depression significant barriers mental help seeking. Addressing health literacy can improve knowledge, management, outcomes. West Louisville, a predominantly American community, particular interest regarding given existing socioeconomic disparities. Boot Camp Translation (BCT),...

Despite the benefits of pre-exposure prophylaxis (PrEP) in preventing HIV and its potential for reducing racial/ethnic inequities, PrEP remains underutilized among African Americans who may benefit from it. Factors uptake include awareness acceptability this prevention strategy group, yet few community-informed interventions have been developed evaluated to address these challenges. Thus, study evaluates effectiveness a community-informed, six-month multimedia campaign (print, digital media,...

High-dose methotrexate (HDMTX) use can be limited by the development of acute kidney injury (AKI). Early AKI detection is paramount to prevent further renal and irreversible toxicities. This study sought determine whether early elimination patterns MTX would useful as a biomarker in HDMTX treatment.

Abstract This article explores the ways in which gendered processes play out through professionalization of chaplains healthcare settings. It describes how gender manifests within organizations, literature addresses role professionalization, and considerations for professional chaplaincy. Fifty interviews with U.S. were analyzed to explore relationship between chaplaincy male female positionality. Although theory moves beyond binary conceptualizations gender, all participants this study...